Interactive Gadolinium-Free MRI Synthesis: A Transformer with Localization Prompt Learning
School of Artificial Intelligence, Hebei University of Technology(河北工业大学人工智能学院);The First Hospital of Jilin University(吉林大学第一医院);Research Center for Medical AI, Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences(中国科学院深圳先进技术研究院医学人工智能研究中心)
Linhao Li, Changhui Su, Yu Guo, Huimao Zhang, Dong Liang, Kun Shang
Contrast-enhanced magnetic resonance imaging (CE-MRI) is crucial for tumor detection and diagnosis, but the use of gadolinium-based contrast agents (GBCAs) in clinical settings raises safety concerns due to potential health risks. To circumvent these issues while preserving diagnostic accuracy, we propose a novel Transformer with Localization Prompts (TLP) framework for synthesizing CE-MRI from non-contrast MR images. Our architecture introduces three key innovations: a hierarchical backbone that uses efficient Transformer to process multi-scale features; a multi-stage fusion system consisting of Local and Global Fusion modules that hierarchically integrate complementary information via spatial attention operations and cross-attention mechanisms, respectively; and a Fuzzy Prompt Generation (FPG) module that enhances the TLP model's generalization by emulating radiologists' manual annotation through stochastic feature perturbation. The framework uniquely enables interactive clinical integration by allowing radiologists to input diagnostic prompts during inference, synergizing artificial intelligence with medical expertise. This research establishes a new paradigm for contrast-free MRI synthesis while addressing critical clinical needs for safer diagnostic procedures. Codes are available at https://github.com/ChanghuiSu/TLP.
Columbia University(哥伦比亚大学);Columbia University Irving Medical Center(哥伦比亚大学欧文医学中心);Zuckerman Institute(扎克曼研究所)
Cerebral blood volume (CBV) is a hemodynamic correlate of oxygen metabolism and reflects brain activity and function. High-resolution CBV maps can be generated using the steady-state gadolinium-enhanced MRI technique. Such a technique requires an intravenous injection of exogenous gadolinium based contrast agent (GBCA) and recent studies suggest that the GBCA can accumulate in the brain after frequent use. We hypothesize that endogenous sources of contrast might exist within the most conventional and commonly acquired structural MRI, potentially obviating the need for exogenous contrast. Here,…
Two-Stage Deep Learning Framework for Quality Assessment of Left Atrial Late Gadolinium Enhanced MRI Images
Kahlert School of Computing, University of Utah(犹他大学卡勒特计算学院);Department of Biomedical Engineering, University of Utah(犹他大学生物医学工程系);Nora Eccles Harrison Cardiovascular Research and Training Institute, University of Utah(犹他大学诺拉·埃克尔斯·哈里森心血管研究与培训研究所);Department of Biomedical Engineering, Johns Hopkins(约翰斯·霍普金斯大学生物医学工程系);Division of Cardiology, University of Utah(犹他大学心脏病学系);Department of Radiology and Imaging Sciences, University of Utah(犹他大学放射学与影像科学系);Scientific Computing and Imaging Institute, University of Utah(犹他大学科学计算与成像研究所)
Segmentation of the left atrial chamber and assessing its morphology, are essential for improving our understanding of atrial fibrillation, the most common type of cardiac arrhythmia. Automation of this process in 3D gadolinium enhanced-MRI (GE-MRI) data is desirable, as manual delineation is time-consuming, challenging and observer-dependent. Recently, deep convolutional neural networks (CNNs) have gained tremendous traction and achieved state-of-the-art results in medical image segmentation. However, it is difficult to incorporate local and global information without using contracting (pooli…
Royal Brompton Hospital(皇家布朗普顿医院);National Heart and Lung Institute, Imperial College London(帝国理工学院国家心肺研究所);Fudan University(复旦大学);Shanghai Jiao Tong University(上海交通大学);University of Lincoln(林肯大学);City University London(伦敦城市大学)
Purpose: Atrial fibrillation (AF) is the most common cardiac arrhythmia and is correlated with increased morbidity and mortality. It is associated with atrial fibrosis, which may be assessed non-invasively using late gadolinium-enhanced (LGE) magnetic resonance imaging (MRI) where scar tissue is visualised as a region of signal enhancement. In this study, we proposed a novel fully automatic pipeline to achieve an accurate and objective atrial scarring segmentation and assessment of LGE MRI scans for the AF patients. Methods: Our fully automatic pipeline uniquely combined: (1) a multi-atlas bas…
University of Burgundy(勃艮第大学);Technical University of Munich(慕尼黑工业大学);icometrix;Casis company(Casis公司);University Hospital of Dijon(第戎大学医院)
Significance: Late gadolinium enhanced magnetic resonance imaging (LGE-MRI) is the gold standard technique for myocardial viability assessment. Although the technique accurately reflects the damaged tissue, there is no clinical standard for quantifying myocardial infarction (MI), demanding most algorithms to be expert dependent. Objectives and Methods: In this work a new automatic method for MI quantification from LGE-MRI is proposed. Our novel segmentation approach is devised for accurately detecting not only hyper-enhanced lesions, but also microvascular-obstructed areas. Moreover, it includ…
University of Bourgogne Franche-Comté(勃艮第-弗朗什孔泰大学);University Hospital of Dijon(第戎大学医院);CASIS company(CASIS公司)
Cardiac left ventricular (LV) segmentation from short-axis MRI acquired 10 minutes after the injection of a contrast agent (LGE-MRI) is a necessary step in the processing allowing the identification and diagnosis of cardiac diseases such as myocardial infarction. However, this segmentation is challenging due to high variability across subjects and the potential lack of contrast between structures. Then, the main objective of this work is to develop an accurate automatic segmentation method based on deep learning models for the myocardial borders on LGE-MRI. To this end, 2.5 D residual neural n…
Fudan University(复旦大学);Shanghai Jiao Tong University(上海交通大学);Imperial College London(帝国理工学院);Universitat de Barcelona(巴塞罗那大学);Friedrich-Alexander-Universität Erlangen-Nürnberg(埃尔朗根-纽伦堡弗里德里希-亚历山大大学);Harbin Institute of Technology(哈尔滨工业大学);Southern University of Science and Technology(南方科技大学);Technical University of Munich(慕尼黑工业大学);INRIA(法国国家信息与自动化研究所);Université Côte d’Azur(蔚蓝海岸大学);NVIDIA(英伟达);Xiamen University(厦门大学);Sichuan University(四川大学);Tencent AI Lab(腾讯人工智能实验室)
Accurate computing, analysis and modeling of the ventricles and myocardium from medical images are important, especially in the diagnosis and treatment management for patients suffering from myocardial infarction (MI). Late gadolinium enhancement (LGE) cardiac magnetic resonance (CMR) provides an important protocol to visualize MI. However, automated segmentation of LGE CMR is still challenging, due to the indistinguishable boundaries, heterogeneous intensity distribution and complex enhancement patterns of pathological myocardium from LGE CMR. Furthermore, compared with the other sequences LG…
Synthesis of Contrast-Enhanced Breast MRI Using Multi-b-Value DWI-based Hierarchical Fusion Network with Attention Mechanism
Netherlands Cancer Institute (NKI)(荷兰癌症研究所);Maastricht University(马斯特里赫特大学);Radboud University Medical Center(拉德堡德大学医学中心);Fondazione Universitaria A. Gemelli, IRCCS Roma(罗马A.杰梅利大学基金会IRCCS)
University of Electronic Science and Technology of China(电子科技大学);King’s College London(伦敦国王学院);University Hospitals KU Leuven(鲁汶大学附属医院);University College London(伦敦大学学院);SenseTime Research(商汤科技研究院)
Segmentation of the fetal brain from stacks of motion-corrupted fetal MRI slices is important for motion correction and high-resolution volume reconstruction. Although Convolutional Neural Networks (CNNs) have been widely used for automatic segmentation of the fetal brain, their results may still benefit from interactive refinement for challenging slices. To improve the efficiency of interactive refinement process, we propose an Uncertainty-Guided Interactive Refinement (UGIR) framework. We first propose a grouped convolution-based CNN to obtain multiple automatic segmentation predictions with…
Contrast-Free Myocardial Scar Segmentation in Cine MRI using Motion and Texture Fusion
University of Oxford(牛津大学);University of Southampton(南安普顿大学);National University of Singapore(新加坡国立大学);Fudan University(复旦大学);Zhongshan Hospital, Fudan University(复旦大学附属中山医院)
Universitat de Barcelona(巴塞罗那大学);Barts Health NHS Trust(巴特兹健康国民保健服务信托基金);Queen Mary University of London(伦敦玛丽女王大学);Universitat Pompeu Fabra(庞培法布拉大学);ICREA(加泰罗尼亚研究与高级研究院)
Accurate segmentation of the cardiac boundaries in late gadolinium enhancement magnetic resonance images (LGE-MRI) is a fundamental step for accurate quantification of scar tissue. However, while there are many solutions for automatic cardiac segmentation of cine images, the presence of scar tissue can make the correct delineation of the myocardium in LGE-MRI challenging even for human experts. As part of the Multi-Sequence Cardiac MR Segmentation Challenge, we propose a solution for LGE-MRI segmentation based on two components. First, a generative adversarial network is trained for the task o…
Zhejiang University(浙江大学);Massachusetts General Hospital(麻省总医院);Zhejiang University of Technology(浙江工业大学)
Neurofibromatosis type 1 (NF1) is an autosomal dominant tumor predisposition syndrome that involves the central and peripheral nervous systems. Accurate detection and segmentation of neurofibromas are essential for assessing tumor burden and longitudinal tumor size changes. Automatic convolutional neural networks (CNNs) are sensitive and vulnerable as tumors' variable anatomical location and heterogeneous appearance on MRI. In this study, we propose deep interactive networks (DINs) to address the above limitations. User interactions guide the model to recognize complicated tumors and quickly a…
School of Data Science, Fudan University(复旦大学数据科学学院)
Cardiac segmentation from late gadolinium enhancement MRI is an important task in clinics to identify and evaluate the infarction of myocardium. The automatic segmentation is however still challenging, due to the heterogeneous intensity distributions and indistinct boundaries in the images. In this paper, we propose a new method, based on deep neural networks (DNN), for fully automatic segmentation. The proposed network, referred to as SRSCN, comprises a shape reconstruction neural network (SRNN) and a spatial constraint network (SCN). SRNN aims to maintain a realistic shape of the resulting s…
Personalized 3D Myocardial Infarct Geometry Reconstruction from Cine MRI with Explicit Cardiac Motion Modeling
Department of Biomedical Engineering, National University of Singapore, Singapore(新加坡国立大学生物医学工程系);Department of Computer Science, National University of Singapore, Singapore(新加坡国立大学计算机科学系);Auckland Bioengineering Institute, University of Auckland, Auckland, New Zealand(奥克兰大学生物工程研究所);School of Biomedical Engineering and Imaging Sciences, King’s College London, UK(伦敦国王学院生物医学工程与成像科学学校);Department of Medicine, National University of Singapore, Singapore(新加坡国立大学医学系);Department of Cardiology, National University Heart Centre Singapore, Singapore(新加坡国立心脏中心心血管科)
Imperial College London(帝国理工学院);Royal Brompton Hospital(皇家布朗普顿医院)
Segmentation of cardiac fibrosis and scar are essential for clinical diagnosis and can provide invaluable guidance for the treatment of cardiac diseases. Late Gadolinium enhancement (LGE) cardiovascular magnetic resonance (CMR) has been successful for its efficacy in guiding the clinical diagnosis and treatment reliably. For LGE CMR, many methods have demonstrated success in accurately segmenting scarring regions. Co-registration with other non-contrast-agent (non-CA) modalities, balanced steady-state free precession (bSSFP) and cine magnetic resonance imaging (MRI) for example, can further en…
University of Virginia(弗吉尼亚大学);University of Virginia Health System(弗吉尼亚大学卫生系统)
Automated identification of myocardial scar from late gadolinium enhancement cardiac magnetic resonance images (LGE-CMR) is limited by image noise and artifacts such as those related to motion and partial volume effect. This paper presents a novel joint deep learning (JDL) framework that improves such tasks by utilizing simultaneously learned myocardium segmentations to eliminate negative effects from non-region-of-interest areas. In contrast to previous approaches treating scar detection and myocardium segmentation as separate or parallel tasks, our proposed method introduces a message passin…
University of Alberta(阿尔伯塔大学);Mazankowski Alberta Heart Institute(马赞科夫斯基阿尔伯塔心脏研究所)
Myocardial characterization is essential for patients with myocardial infarction and other myocardial diseases, and the assessment is often performed using cardiac magnetic resonance (CMR) sequences. In this study, we propose a fully automated approach using deep convolutional neural networks (CNN) for cardiac pathology segmentation, including left ventricular (LV) blood pool, right ventricular blood pool, LV normal myocardium, LV myocardial edema (ME) and LV myocardial scars (MS). The input to the network consists of three CMR sequences, namely, late gadolinium enhancement (LGE), T2 and balan…
Segmentation of the left atrium (LA) is crucial for assessing its anatomy in both pre-operative atrial fibrillation (AF) ablation planning and post-operative follow-up studies. In this paper, we present a fully automated framework for left atrial segmentation in gadolinium-enhanced magnetic resonance images (GE-MRI) based on deep learning. We propose a fully convolutional neural network and explore the benefits of multi-task learning for performing both atrial segmentation and pre/post ablation classification. Our results show that, by sharing features between related tasks, the network can ga…
MOIS-SAM2: Exemplar-based Segment Anything Model 2 for multilesion interactive segmentation of neurofibromas in whole-body MRI
Institute for Applied Medical Informatics, Institute of Computational Neuroscience, and Center for Biomedical Artificial Intelligence (bAIome), University Medical Center Hamburg-Eppendorf(应用医学信息学研究所、计算神经科学研究所和生物医学人工智能中心(bAIome)、汉堡医学院中心);Department of Diagnostic and Interventional Radiology and Nuclear Medicine, University Medical Center Hamburg-Eppendorf(诊断与介入放射学及核医学系、汉堡医学院中心);Department of Neurology, University Medical Center Hamburg-Eppendorf(神经病学系、汉堡医学院中心)
MOIS-SAM2是一种基于示例的Segment Anything Model 2,用于全身体部MRI中神经纤维瘤多病灶交互分割,实现了高精度和可扩展性,支持临床应用。
CAVM: Conditional Autoregressive Vision Model for Contrast-Enhanced Brain Tumor MRI Synthesis
School of Medical Technology, Beijing Institute of Technology(北京理工大学医学技术学院);School of Integrated Circuits and Electronics, Beijing Institute of Technology(北京理工大学集成电路与电子学院)
Oslo University Hospital(奥斯陆大学医院);Stanford University(斯坦福大学)
The purpose was to assess the clinical value of a novel DropOut model for detecting and segmenting brain metastases, in which a neural network is trained on four distinct MRI sequences using an input dropout layer, thus simulating the scenario of missing MRI data by training on the full set and all possible subsets of the input data. This retrospective, multi-center study, evaluated 165 patients with brain metastases. A deep learning based segmentation model for automatic segmentation of brain metastases, named DropOut, was trained on multi-sequence MRI from 100 patients, and validated/tested …
Insight Centre for Data Analytics, Dublin City University(都柏林城市大学数据洞察中心);Sports Medicine Department, Sports Surgery Clinic(运动外科诊所运动医学部);School of Health and Human Performance, Dublin City University(都柏林城市大学健康与人体运动学院)
In this paper we present an interactive tool that can be used to quantify fat infiltration in lumbar muscles, which is useful in studying fat infiltration and lower back pain (LBP) in adults. Currently, a qualitative assessment by visual grading via a 5-point scale is used to study fat infiltration in lumbar muscles from an axial view of lumbar-spine MR Images. However, a quantitative approach (on a continuous scale of 0-100\%) may provide a greater insight. In this paper, we propose a method to precisely quantify the fat deposition / infiltration in a user-defined region of the lumbar muscles…
HAMIL-QA: Hierarchical Approach to Multiple Instance Learning for Atrial LGE MRI Quality Assessment
Kahlert School of Computing, University of Utah(犹他大学卡尔特计算机学院);Department of Biomedical Engineering, University of Utah(犹他大学生物医学工程系);Nora Eccles Harrison Cardiovascular Research and Training Institute, University of Utah(犹他大学诺拉·埃克尔斯·哈里森心血管研究与培训研究所);Johns Hopkins(约翰斯·霍普金斯大学);Division of Cardiology, University of Utah(犹他大学心脏病学系);Department of Radiology and Imaging Sciences, University of Utah(犹他大学放射学与影像科学系);Scientific Computing and Imaging Institute, University of Utah(犹他大学科学计算与影像研究所)
Fudan University(复旦大学);Shanghai Jiao Tong University(上海交通大学);Technical University of Munich(慕尼黑工业大学);Helmholtz Center Munich(慕尼黑亥姆霍兹中心)
Late gadolinium enhancement magnetic resonance imaging (LGE MRI) is commonly used to visualize and quantify left atrial (LA) scars. The position and extent of scars provide important information of the pathophysiology and progression of atrial fibrillation (AF). Hence, LA scar segmentation and quantification from LGE MRI can be useful in computer-assisted diagnosis and treatment stratification of AF patients. Since manual delineation can be time-consuming and subject to intra- and inter-expert variability, automating this computing is highly desired, which nevertheless is still challenging and…
The most common primary brain tumors are gliomas, evolving from the cerebral supportive cells. For clinical follow-up, the evaluation of the preoperative tumor volume is essential. Volumetric assessment of tumor volume with manual segmentation of its outlines is a time-consuming process that can be overcome with the help of computerized segmentation methods. In this contribution, two methods for World Health Organization (WHO) grade IV glioma segmentation in the human brain are compared using magnetic resonance imaging (MRI) patient data from the clinical routine. One method uses balloon infla…
Symmetry Interactive Transformer with CNN Framework for Diagnosis of Alzheimer's Disease Using Structural MRI
College of Electronics and Information Engineering, Sichuan University, China(四川大学电子信息工程学院);Tri-Institutional Center for Translational Research in Neuroimaging and Data Science (GSU, Georgia Tech, Emory), Atlanta, USA(跨机构神经影像与数据科学转化研究中心);College of Information and Electrical Engineering, China Agricultural University, China(中国农业大学信息与电气工程学院);School of Biomedical Engineering and Imaging Sciences, King's College London, UK(伦敦国王学院生物医学工程与影像科学学院)
Polytechnique Montreal(蒙特利尔理工学院);Mila, Quebec AI Institute(米拉魁北克人工智能研究所);Beijing Tiantan Hospital, Capital Medical University(首都医科大学附属北京天坛医院);Université de Montréal(蒙特利尔大学)
Spinal cord tumors lead to neurological morbidity and mortality. Being able to obtain morphometric quantification (size, location, growth rate) of the tumor, edema, and cavity can result in improved monitoring and treatment planning. Such quantification requires the segmentation of these structures into three separate classes. However, manual segmentation of 3-dimensional structures is time-consuming and tedious, motivating the development of automated methods. Here, we tailor a model adapted to the spinal cord tumor segmentation task. Data were obtained from 343 patients using gadolinium-enha…
Personalized 3D Myocardial Infarct Geometry Reconstruction from Cine MRI for Cardiac Digital Twins
Department of Biomedical Engineering, National University of Singapore(新加坡国立大学生物医学工程系);Department of Medicine, National University of Singapore(新加坡国立大学医学系);Department of Cardiology, National University Heart Centre Singapore(新加坡国立心脏中心心内科部)
Department Artificial Intelligence in Biomedical Engineering, Friedrich-Alexander-Universität Erlangen-Nürnberg(生物医学工程人工智能系,埃尔朗根-纽伦堡弗里德里希-亚历山大大学);Department of Biomedical Engineering, The Ohio State University(生物医学工程系,俄亥俄州立大学);Research & Clinical Translation, Magnetic Resonance, Siemens Healthineers AG(研究与临床转化,磁共振,西门子医疗有限公司);Division of Cardiovascular Medicine, The Ohio State University(心血管医学系,俄亥俄州立大学)
AA-ViT: Anatomically Aware Vision Transformer with Structural and Frequency Guidance for Contrast Enhanced Brain MRI Synthesis
Atlantic Technological University(大西洋理工大学);Belfast Health and Social Care Trust(贝尔法斯特健康和社会关怀信托基金);King’s College Hospital NHS Foundation Trust(国王学院医院国民保健服务信托基金);King’s College London(伦敦国王学院);Queen’s University Belfast(贝尔法斯特女王大学)
Enhancement Without Contrast: Stability-Aware Multicenter Machine Learning for Glioma MRI Imaging
Tehran University of Medical Science(德黑兰医科大学);Guilan University of Medical Sciences(吉兰医科大学);University of Tehran(德黑兰大学);Motamed Cancer Institute, ACECR(莫塔梅德癌症研究所,学术中心教育文化研究委员会);University of British Columbia(不列颠哥伦比亚大学);Technological Virtual Collaboration Company (TECVICO CORP.)(技术虚拟协作公司);BC Cancer Research Institute(不列颠哥伦比亚省癌症研究所)
Scientific Computing and Imaging Institute, University of Utah(犹他大学科学计算与成像研究所);Kahlert School of Computing, University of Utah(犹他大学卡勒特计算学院);Department of Biomedical Engineering, University of Utah(犹他大学生物医学工程系);Nora Eccles Harrison Cardiovascular Research and Training Institute, University of Utah(犹他大学诺拉·埃克尔斯·哈里森心血管研究与培训研究所);Department of Radiology and Imaging Sciences, University of Utah(犹他大学放射学与影像科学系);Department of Biomedical Engineering, Johns Hopkins(约翰霍普金斯大学生物医学工程系);Division of Cardiology, University of Utah(犹他大学心脏病学系)
Iowa Institute for Biomedical Imaging(爱荷华生物医学影像研究所);The University of Iowa(爱荷华大学)
State-of-the-art automated segmentation algorithms are not 100\% accurate especially when segmenting difficult to interpret datasets like those with severe osteoarthritis (OA). We present a novel interactive method called just-enough interaction (JEI), which adds a fast correction step to the automated layered optimal graph segmentation of multiple objects and surfaces (LOGISMOS). After LOGISMOS segmentation in knee MRI, the JEI user interaction does not modify boundary surfaces of the bones and cartilages directly. Local costs of underlying graph nodes are modified instead and the graph is re…
Few-Shot Left Atrial Wall Segmentation in 3D LGE MRI via Meta-Learning
Department of Systems and Computer Engineering, Carleton University(系统与计算机工程系,卡尔顿大学);Department of Radiology, Radiation Oncology, and Medical Physics, University of Ottawa(放射科、放射肿瘤学与医学物理系,渥太华大学);Division of Cardiology, Department of Medicine, University of Ottawa Heart Institute(心内科,医学系,渥太华心脏研究所)
Inria(法国国家信息与自动化研究所);Sorbonne Université(索邦大学);Institut du Cerveau - Paris Brain Institute - ICM(巴黎大脑研究所);Inserm(法国国家健康与医学研究院);CNRS(法国国家科学研究中心);AP-HP, Hôpital de la Pitié Salpêtrière(巴黎公立医院集团,皮提耶-萨勒佩特里医院);AP-HP, WIND department(巴黎公立医院集团,WIND部门)
Many studies on machine learning (ML) for computer-aided diagnosis have so far been mostly restricted to high-quality research data. Clinical data warehouses, gathering routine examinations from hospitals, offer great promises for training and validation of ML models in a realistic setting. However, the use of such clinical data warehouses requires quality control (QC) tools. Visual QC by experts is time-consuming and does not scale to large datasets. In this paper, we propose a convolutional neural network (CNN) for the automatic QC of 3D T1-weighted brain MRI for a large heterogeneous clinic…
ScarNet: A Novel Foundation Model for Automated Myocardial Scar Quantification from LGE in Cardiac MRI
Northwestern University(西北大学);Feinberg School of Medicine(费林伯格医学院);University of Miami Miller School of Medicine(迈阿密大学米勒医学院);Cedars-Sinai Medical Center(西达赛奈医疗中心)
University College London(伦敦大学学院);University Hospitals KU Leuven(鲁汶大学附属医院)
Accurate medical image segmentation is essential for diagnosis, surgical planning and many other applications. Convolutional Neural Networks (CNNs) have become the state-of-the-art automatic segmentation methods. However, fully automatic results may still need to be refined to become accurate and robust enough for clinical use. We propose a deep learning-based interactive segmentation method to improve the results obtained by an automatic CNN and to reduce user interactions during refinement for higher accuracy. We use one CNN to obtain an initial automatic segmentation, on which user interact…
\textit{Objective:} Gadolinium-based contrast agents (GBCAs) have been widely used to better visualize disease in brain magnetic resonance imaging (MRI). However, gadolinium deposition within the brain and body has raised safety concerns about the use of GBCAs. Therefore, the development of novel approaches that can decrease or even eliminate GBCA exposure while providing similar contrast information would be of significant use clinically. \textit{Methods:} In this work, we present a deep learning based approach for contrast-enhanced T1 synthesis on brain tumor patients. A 3D high-resolution f…